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Substance Use Disorder Prevention

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Commentary
Treating Supervised Drug Consumption Sites Like Cannabis
Some communities hard hit by the opioid crisis are interested in opening supervised consumption sites—places where people who use drugs can do so under supervision of trained staff. What could be done to make it easier to pilot and evaluate these sites in the United States?
Oct 22, 2021
Commentary
A New and More Dangerous Drug Market Requires a New Approach
Synthetic opioids are likely to increasingly reach illegal drug markets. Failure to recognize and respond to how rapidly drug markets have changed with the arrival of illegally manufactured synthetic opioids will continue to put many at risk of exposure to fentanyl, endangering the lives of hundreds of thousands more Americans for years to come.
Mar 16, 2022

Explore Substance Use Disorder Prevention

Multimedia
Commission on Combating Synthetic Opioid Trafficking
This video provides an overview of the Commission on Combating Synthetic Opioid Trafficking, including its purpose, research, and findings.
May 3, 2022
Journal Article
Reducing Opioid Overdose Deaths by Expanding Naloxone Distribution and Addressing Structural Barriers to Care
Qualitatively synthesizing evidence from six systematic reviews, the authors conclude that OEND programs generally produce beneficial outcomes across all domains considered, although the authors' ratings for the strength of the evidence are often "limited" or "moderate."
Feb 1, 2022
Report
Can Extremism Be Addictive?
Why do former extremists feel drawn back to radical ideological thoughts and long for reengagement with the movements they left? Is it like an addiction? There could be opportunities to apply lessons from addiction research and treatment to efforts to counter hate and violent extremism.
Jan 5, 2022
Report
Final Evaluation of LA DOOR: Proposition 47 Grant Program
In this report, the authors summarize their findings from an evaluation of Cohort 1 of the Los Angeles Diversion, Outreach, and Opportunities for Recovery program.
Sep 30, 2021
Journal Article
Mental Health Conditions and Substance Use Disorders Among Youth Subsequently Diagnosed With Opioid Use Disorder or Opioid Poisoning
This study examined receipt of services for mental health conditions and non-opioid substance use disorders among privately insured adolescents and young adults (ie, youth) with subsequent clinically diagnosed opioid use disorder or opioid poisoning.
Jul 21, 2021
Journal Article
The Association of State Opioid Misuse Prevention Policies With Patient- and Provider-Related Outcomes: A Scoping Review
This review reveals a growing literature on the effects of certain state opioid misuse prevention policies, but persistent gaps in evidence on other prevalent state policies remain.
Apr 29, 2020
Journal Article
Influence of an Implementation Support Intervention on Barriers and Facilitators to Delivery of a Substance Use Prevention Program
Findings highlight that implementation support, such as Getting to Outcomes, is likely to help low-resourced community-based organizations improve program delivery through a focus on implementation processes.
Feb 13, 2020
Commentary
Where Science Says to Spend Any U.S. Opioid Settlement Money
A global settlement with pharmaceutical companies has started to appear more and more likely. Even with billions of dollars, the settlement resources won't be unlimited. To avoid mistakes made in the tobacco master settlement agreement, any opioid funds must be carefully allocated.
Dec 19, 2019
Journal Article
Program Capacity to Deliver Prevention Services to Children of Adult Clients Receiving Substance Use Disorder Treatment
Most of the publicly-funded SUD-treatment programs in this study reported delivering prevention and early-intervention services for children of their adult clients.
May 29, 2019
Commentary
(Grey's) Anatomy of an Opioid Crisis
More than 130 Americans die every day after overdosing on opioids. So when one of the most popular shows on TV made opioid misuse a major plotline, RAND experts paid attention to how it presented this public health crisis. The show mirrored reality pretty closely, for the narrow slice of the opioid crisis it addressed.
Apr 8, 2019
Journal Article
Relative Influence of Perceived Peer and Family Substance Use on Adolescent Alcohol, Cigarette, and Marijuana Use Across Middle and High School
Substance use prevention efforts that seek to counter peer pressures should begin prior to middle school and span high school, and address the role of peer and family environments.
Dec 20, 2018
Announcement
NIH Funds RAND Corporation Opioid Research Center Dedicated to Policies for Addressing the National Crisis
A research center dedicated to identifying effective policies for combating the nation's opioid epidemic has been established at the RAND Corporation, supported by a $7.2 million grant from the National Institute on Drug Abuse, a component of the National Institutes of Health.
Sep 10, 2018
Journal Article
Blackouts as a Moderator of Young Adult Veteran Response to Personalized Normative Feedback for Heavy Drinking
Online personalized normative feedback (PNF) interventions for alcohol use may be particularly effective for people who have recently experienced an alcohol-induced blackout.
May 22, 2018
Journal Article
Addressing the Opioid Epidemic in the United States: Lessons from the Department of Veterans Affairs
Reflecting a comprehensive VA effort to improve pain management, in 2007 fewer veterans received high doses of opioids and more veterans received non-opioid pain therapies, naloxone, and treatment for substance use disorders.
Apr 26, 2018
Journal Article
Marijuana Buyers in the United States, 2010–2014
Approximately 18.5 million Americans aged 12 or older reported buying marijuana in the past year; they were more likely to be male, report using marijuana for a greater number of days, and report dependence on marijuana.
Jan 16, 2018
Commentary
Is the EU Drugs Strategy Helping to Curb the Harm Caused by Drugs?
The EU Drugs Strategy takes a balanced approach to reduce drug demand, supply, and harm. All EU member states have a national drugs strategy, and most are aligned with the EU's. Having a coordinated voice on drug policy is valuable but is the strategy working?
Jan 9, 2018
Journal Article
Recruitment and Retention of Homeless Youth in a Substance Use and HIV-risk Reduction Program
Developing a series of strategies and tools to reach homeless youth makes it possible to conduct research with and provide outreach to this at-risk yet hard-to-reach population.
Oct 13, 2017
Journal Article
Individual, Peer, and Family Factor Modification of Neighborhood-Level Effects on Adolescent Alcohol, Cigarette, E-Cigarette, and Marijuana Use
Supporting more social connections between neighbors and monitoring of adolescent deviant behaviors by neighbors may be effective in reducing cigarette, e-cigarette, and marijuana use.
Sep 28, 2017

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RAND Topic:
Substance Use Disorder Prevention

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